New Public Management and Hospital Performance in Algeria
Case of the University Hospital Center Benbadis in Constantine
Keywords:
New Public Management, NPM, Administrative reforms, Hospital management, Quality of care, Public performanceAbstract
Algerian public administration, long paralyzed by rigid and bureaucratic structures, has undertaken several reforms to modernize and play a leading role in the country's growth and prosperity. Inspired by New Public Management, a management method that emerged in the United Kingdom in the 1980s, these reforms aim to improve the efficiency of public action and redefine the role of the citizen. Despite the extension of these reforms to the hospital sector, the application of NPM at the Benbadis University Hospital Center in Constantine has not led to an improvement in the quality of care. To identify the causes of this failure, two semi-structured interviews were conducted in March 2024 with administrative officials and medical and paramedical staff of the emergency department. The study reveals that the implementation of NPM principles remained theoretical, preventing a true improvement in hospital services.
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References
[1] - Pesqueux, Y. Le nouveau management public : Une revue critique. Management & Avenir, Paris, 113(1), 2020, p23.
[2] - ibid.
[3] - Selznick, P. TVA and the Grass Roots: A Study in the Sociology of Formal Organization. University of California Press. 1949.
[4] - Merton, R. K. Bureaucratic structure and personality. Social Forces, 18(4), 1957, p 560.
[5] - Niskanen, W. A. Bureaucracy and representative government. Chicago : Aldine-Atherton. 1971.
[6] - Clegg, S., & Courpasson, D. Political hybrids: Tocquevillean views on project organizations. Journal of Management Studies, Oxford, 2004, 41(4), p 525.
[7] - Ferlie, E. Large-scale organizational change. Public Management Review, London, 1(3), 1997, p 263.
[8] - Charreaux, G., & Schatt, A. Les réformes multidimensionnelles du secteur public : Une analyse comparative. Revue économique, Paris, 2006, 57(1), p 45.
[9] - Walsh, K. Public Services and Market Mechanisms: Competition, Contracting, and the New Public Management. Macmillan. 1995.
[10] - Van Haeperen, B. Les réformes du Nouveau Management Public et leurs impacts. Gestion et Management Public, Paris, 30(1), 2012, p 45.
[11]- Amar, A., & Berthier, M. Les résistances au Nouveau Management Public : le cas des hôpitaux publics. Revue française d'administration publique, Paris, 2007, 123(1), p 11 ;
[12] Dunleavy, P., & Hood, C. From old public administration to new public management. Public Money & Management, London, 1994, 14(3), p 9 ;
[13] Eymeri-Douzans, J.-M. La nouvelle gestion publique : Bilan et perspectives. Revue internationale des sciences administratives, Bruxelles, 2008, 74(4), p 629 ;
[14] OCDE. Modernisation de la gestion publique : La gestion par les résultats. Paris : OCDE. 2004 ;
[15] Verhoest, K., Peters, B. G., Bouckaert, G., & Verschuere, B. The study of organizational autonomy: A conceptual review. Public Administration and Development, London, 27(2), 2007, p 101.
[16] - Taib, A. L'administration publique en Algérie : Évolutions et perspectives. Revue Algérienne des Sciences Politiques, Alger, 7, 2016, p 45.
[17] - Benzerga, S. La bureaucratie en Algérie: Dysfonctionnements et réformes. Alger : Editions ENAG. 2008.
[18] - Ferli, E. op.cit.
Hood, C. A public management for all seasons? Public Administration, London, 69(1), 1991, p 3.
[19]- Chabane, S. La gouvernance des établissements hospitaliers en Algérie: Défis et perspectives. Santé Publique, Paris, 2013, 25(1), p 78.
[20] - Boudarene, L. Les réformes hospitalières en Algérie : Bilan et perspectives. Revue algérienne de santé publique, Alger, 2012, 3(1), p 54.
[21] - Benachenhou, A. Les réformes du système de santé en Algérie : une analyse critique. Cahiers de l'IFORD, Yaoundé, 2004, 18, p 87.
[22] - Benbaba, M. La gestion hospitalière en Algérie : Enjeux et perspectives. Revue des sciences sociales et humaines, Alger, 2010, 58, p 23.
[23] - Lamri, N. La gestion des établissements de santé en Algérie. Alger: Office des Publications Universitaires. 1998.
[24] - Benhammou, N. L'efficience dans les établissements publics hospitaliers en Algérie. Revue internationale de gestion hospitalière, Montréal, 2011, 26(2), p 98.
[25] - Amar, A., & Berthier, M. op. cit, p 12.
[26] - Dunleavy, P., & Hood, C. op. cit, p 10.
[27] - Van Haeperen, B. op. cit. p 45
[28] - ibid. p 46.
[29] - Chabane, S. op. cit, 78.
[30] - Amar, A., & Berthier, M. op. cit. p 28.
[31] - Lamri, N. op. cit. p 63.
[32] - Benachenhou, A. op. cit. p 87.
[33] - Van Haeperen, B. op. cit. p 49.
[34] - Ferlie, E. op. cit. p 112.
[35] - Hood, C. op. cit. p 9.
[36] - Benzerga, S. op. cit. 78.
[37] - Benhammou, N. op. cit. p 98.
[38] - Urio, P. L'efficacité des administrations publiques. Revue internationale des sciences administratives, Bruxelles, 64(3), 1998, p 102.
[39] - Dunleavy, P., & Hood, C. op. cit. p 23.
[40] - Amar, A., & Berthier, M. op. cit. P11.
[41] - Dos Santos, S., Mousli, L., & Randriamiarana, O. La loi HPST et ses effets sur le système de santé français. Revue française des affaires sociales, Paris, 2, 2013, 102.
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